Professional Documents
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DOH Graphic Health Warning Guide
DOH Graphic Health Warning Guide
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what’s
inside KP advocates in
Central Luzon
EDITORIAL:
Graphic health
Care for the
displaced in
Strengthening
local health
commended warnings on Mamasapano system in
cigarettes Cordillera
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VOL. 1 ISSUE 11
MARCH 2015
region-wide. From my staff in the regional and Oral Polio Vaccine Mass Immunization
• Certificate of Recognition for HIV
office to the barangay health workers in the • Outstanding Municipalities/Cities for Program Implementation
field, my endless gratitude to your untiring Measles, Rubella and Oral Polio Vaccine Mass
commitment, dedication, and love for work,” Immunization • National Tuberculosis Control
she said. Program Achievement Award
• Outstanding Newborn Screening Facilities in
“Our partnership has been tested from Central Luzon • Rabies Prevention and Control
time to time, but your presence here today is Program Excellence Award for
a good indication of the solidified foundation • High Achievers Award for the Newborn Program Implementation
we build from our encounters,” she added. Screening Program 2014
• Zero Malaria Case and Zero Malaria
“Today is the harvest of our toiling. Central • Certificate of Recognition as Preceptor Sites Death
Luzon Excellence Awards for Health truly for the Training of Newborn Screening
• Best Orally Fit Day Care Center
recognizes the efforts of our partners and • Red Orchid Awards “Hall of Famer”
their exemplary performances in delivering • Best Orally Fit Community
• Best Advocates for Tobacco Control Program
quality health services to the people. Ito ay • Best Orally Fit Program Implementor
selebrasyon at panahon ng pag-aani, oras • Outstanding Healthy Lifestyle Advocates
Awardee • Most Compliant Laboratory
ng pasasalamat, at regaling Kagawaran ng
kalusugan sa inyong lahat at sa mga tao ng • Most Supportive LGUs for the Welfare of • Most Active Media Partners on Health
ating pinagsisilbihan,” RD Gorgolon told the Persons with Disability • Active Partner on Health Information
audience. • Best Advocates for Mental Health Program Campaign
“In our life’s journey, we do not count steps. • Best Advocates for Primary Eye Care Program • Outstanding Doctor to the Barrio
We look back on the marks we leave. Thus, • Best Provincial Epidemiology and
in our public health service, let us leave the • Finalists in the Regional Search for Barangay
with Best Sanitation Practices Surveillance Unit
CLExAH mark, the mark of excellence and
sustainability in the spirit of service,” she • Best Environmental and Occupational Health • Best Disease Reporting Unit
stressed. related initiative by LGU-Health Offices • Best Disease Reporting Unit in
On the other hand , Department of Health- • Winners of the Regional Search for Barangay Reporting Acute Flaccid Paralysis
Regional Office IV-A CALABARZON (DOH-RO with Best Sanitation • Certificate of Recognition for APEC
IV-A) Regional Director Nestor F. Santiago, • Pulang Laso Excellence Award for HIV 2015 Medical Teams
Jr. in his inspirational message, emphasized Program Implementation
DOH-RO III’s top notch performance for 2014,
4
EDITORIAL
Illustration by Donna Pahignalo
Va
Graphic health
warnings on Office of the Secretary
visually-oriented, more graphic warnings youth and to guide the implementation Graphic Artist
Ramir Cambiado
about the harmful effects of smoking in the and evaluation of tobacco prevention and Dani Cisneros
various parts of the body. control program, 13.7 percent of students Group Sales Manager
In 2014, a new law requiring graphic ages 13-15 currently use any form of Maria Elna P. Jagape
health warnings on cigarettes packages tobacco; 8.9 percent of students currently Account Managers
Charlotte Punzalan, Noel Ongkingco
took effect. The graphic health warning smoke cigarettes; and 7.3 percent Circulation Head
is expected to dramatically reduce the currently use some other form of tobacco. Armando Sandajan
number of Filipino smokers, especially More than two in five students live in
among the youth. homes where others smoke, and close FOR EDUCATIONAL PURPOSES
A review by Sambrook Research to three in five students are exposed ONLY. NOT FOR SALE
Opinions expressed in this publication
International in 2009 said that there’s clear to smoke around others outside of the do not necessarily represent those of the
evidence that tobacco package health home; half of the students have one or DOH. The mention of specific companies
warnings increases consumers’ knowledge more parents who smoke and 9.5 percent or of certain manufacturer’s products
about health consequences of tobacco use. of students have friends who smoke. does not imply that they are endorsed or
It also contributes to changing consumers’ Eight in 10 students think smoke from recommended by the DOH in preference
attitudes towards tobacco use as well as others is harmful to them. More than nine to others of similar nature. Articles may
changing their behaviors. in 10 students think smoking in public be reproduced in full or in part without
prior permission, provided credit is given
Tobacco companies were given a year places should be banned. Close to nine in to the DOH for original pieces. A copy
from issuance of the necessary templates 10 current smokers want to stop smoking. of the reprinted or adapted version
to comply and an additional eight months We are confident that through the will be appreciated. Articles, artworks,
to sell all cigarettes packs without graphic release of graphic health warning photographs, caricatures, letters and
health warnings. guidelines and templates, we will be other contributions are most welcome.
Studies have shown this move can able to inform every person of the health Materials will be edited for clarity
and space. Unsolicited manuscripts
effectively discourage young people consequences of tobacco consumption will be returned. Contributors must
from getting into smoking. and exposure to tobacco smoke. indicate their names and addresses.
In the Philippines, at least 240 Filipinos Let’s continue instilling health
die every day, or approximately 87,000 consciousness among Filipinos and We would like to hear from you!
per year from tobacco-related diseases. save our youth from long-term health
As young as 10 year-old children can problems. E-mail us your feedback at
DOHFiles@gmail.com
www.doh.gov.ph
from Page 8
PhilHealth’s ‘Tsekap’ Moreover, 51.9 million pesos worth of equipment was released for
the 16 hospitals in the region, 6.3 million pesos for the 10 RHUs and
15.2 million pesos for the BHSs.
s Primary care package covers for drugs, labs
In 2015, the Department of Health has programmed to disburse
for 10 common conditions of 112 million pesos for the 4 hospitals, 2 million for 1 RHU and 18.4
million pesos for the 20 BHSs as infrastructure support. The DOH
THE PHILIPPINE Health Insurance Corporation (PhilHealth) recently will also drove equipment support to 1 hospital amounting to 1.1
launched an expanded promotive, preventive and diagnostic package million pesos, 0.64 million pesos for 1 RHU and 7.75 million pesos
designed to improve financial risk protection for its members, for the 19 BHSs.
particularly the less privileged. On personnel augmentation, DOH deployed a total of 11 doctors
Dubbed “Tamang Serbisyo sa Kalusugan ng Pamilya” (Tsekap), the through the Doctors-to-the Barrio Program and 10 of these were
benefit package is an expansion of the Primary Care Benefit Packages sent to the non-project sites in Abra. DOH-CAR also deployed 92
1 and 2 that were implemented in 2012 and 2014, respectively. nurses in all the 6 provinces through the Nurses Deployment
Program and 125 midwives through Rural Health Midwife
“Tsekap shall be initially rolled out to the indigent and sponsored Placement Program. Implementation of the program is continued
members, but eventually it will be offered to all other sectors,” said up to 2015.
PhilHealth President and CEO Atty. Alexander A. Padilla.
Director Lopez also noted that DOH-CAR certified 15 hospitals
Included in the Tsekap are medicines for 10 common conditions from the non-project sites, 30 RHUs and 18 BHSs for BEmONC.
that can be managed at a primary care set up such as asthma, This implies that these facilities have met the required standard
acute gastroenteritis, upper respiratory tract infection, pneumonia, for both facility and personnel skills of the Department of Health
urinary tract infection, diabetes mellitus, hypertension, dyslipidemia, on operating birthing facilities and complied the requirement of
deworming, and ischemic heart disease. PhilHealth for the Maternity Care Package. These were processed
Also available are comprehensive health profiling upon enlistment, using the Regional Standard Operating Procedure on Certification
consultations,regular blood pressure and body measurement, periodic of Facilities as BEmONC Capable.
clinical breast examination, cervical cancer screening, digital rectal Most of the facilities in Ifugao, Kalinga and Mt. Province are
examination, risk profiling for hypertension and diabetes, counseling part of the HFEP projects in 2013-2014 and are currently ongoing
for smoking cessation and lifestyle modification and oral check-up construction. They will be assessed for the certification once
and prophylaxis for children 12 years old and below. the facilities are completely constructed. There will, however
“When clinically necessary, sponsored and indigent members can be a continuing assessment of the birthing facilities in 2015 for
also avail themselves of diagnostic examinations such as complete both initial and renewal certification to make sure the quality of
blood count, blood typing, urinalysis, stool exam, chest X-ray, delivering birthing services.
sputum microscopy, lipid profile, fasting blood sugar, creatinine, Aside from project highlights and HFEP updates, Dr. Makoto Tobe,
electrocardiogram, peak expiratory flow meter testing and blood the project Chief Advisor, JICA-SSC also presented a suggested
glucose monitoring through blood glucose meters,” Atty. Padilla measurement of facility-based delivery rate reflecting actual status
added. at municipal level.
Indigent and sponsored members may choose either a private or A press conference was also held and Asec. Bayugo said that
public Tsekap provider that is most accessible to them. The chosen DOH noted Pope Francis’ call for support on the increasing number
provider shall enlist the family and make the individual health profiling, of family members in the Philippines and he noted the significant
which is an essential component, to ensure that the health status of improvement of Maternal Mortality Rate in the country. Director
the eligible PhilHealth beneficiary is established and monitored. Lopez discussed the implementation of HFEP projects in the Cordillera.
The No Balance Billing shall also apply both in private and public The Department of Health supports facility based delivery by quality
facilities where the Tsekap services are provided. service and construction of health facilities under HFEP.
“To help deliver the Tsekap services, we are tapping government Dr. Amelita Pangilinan informed the public about the importance
and private health care facilities that can assure us that the range of of facility based delivery and suggested that harmful cultural
indicated benefits in the package can be made available to enlisted practice of cutting the umbilical cord of a newly born child using
families. At the same time, we have set the standards for the bamboos should be avoided as it could result to tetatus infection.
accreditation of drug outlets that can participate in the provision of Dr. Pangilinan also noted that home deliveries in Cordillera is at
drugs and medicines under the Tsekap package,” Atty. Padilla said. 20% while facility based delivery is at 80% of the total population.
Among Tsekap’s unique properties is the use of the EMR or electronic Spearheaded by DOH-CAR AND JICA-SSC and attended to by
medical records that will be generated by the provider-facilities whose stakeholders of the project sites, from the provinces of Abra(with
IT systems should be in sync with PhilHealth. 6 municipalities), Apayao and Benguet, and Baguio City with
To date, there are 15,068,028 Indigent and Sponsored Program partners from DOH Central Office and Regional Offices, development
families enrolled in PhilHealth. partners (USAID), NGOs, Media and Regional Line Agencies.
Strengthening local health Impact of the project showed an increase
in Barangay Health Station (BHS) delivery
in mountainous remote areas in Apayao;
system in Cordillera in Calanasan, there was an increase to 20
percent while in Kabugao and Conner, there
was an increase to 10 percent from 2012
Increase in MD personnel, barangay health stations, to 2013. It also showed an improved Rural
facility-based delivery rate noted Health Unit (RHU) delivery in rural areas with
flat terrain in Abra: in Lagangilang there was
a 40 percent increase while Dolores and
Villaviciosa the increase was almost at 20
percent from 2012 to 2013.
Facility-Based Delivery Rate from 2012 to
2013 also increased. In flat terrain of Abra,
from 73 percent in 2012, increased to 86
percent in 2013 in RHU deliveries, in Apayao,
from 67 percent increased to 80 percent for
hospital and BHS deliveries while Benguet
from 83 percent increased to 87 percent.
The Project sites totaled an increase from 79
percent to 86 percent.
Also through the Health Facility
Enhancement Program (HFEP), LGU and
development partners including JICA and
USAID, 14 primary hospitals, 19 Rural Health
Units, and 61 Barangay Health Stations were
DOH Assistant Secretary Gerardo V. Bayugo giving the keynote message during the forum upgraded and provided with equipment.
To ensure that quality basic services are
A NATIONAL dissemination forum was held It can be noted that CAR is only 68 provided, DOH-CAR also trained more than
to discuss the Cordillera-wide Strengthening percent in 2010 but with an increasing 300 doctors, nurses and midwives on basic
of the Local Health System for Effective and trend. In 2011 there was already 73 percent emergency obstetric and newborn care
Efficient Delivery of Maternal and Child achievement in terms of FBD, in 2012, 78 (BEmONC).
Health Services, on January 21-23 at Crown percent and in 2013 – 84 percent. With the Community Health Teams as the
Legacy Hotel, Baguio City. It is along this line that the Project for the link/bridging partners in the community,
Present in the forum were DOH Assistant Cordillera-Wide Strengthening of the Local DOH-CAR along with its development
Secretary Gerardo Bayugo as the keynote Health System for Effective and Efficient partners such as JICA was able to provide
speaker in lieu of Acting Secretary Janette Delivery of Maternal and Child Health IEC flipcharts and conducted a series of
Loreto-Garin; ARMM Health Secretary Services was born. conventions to enable or equip the CHTs
Sinolinding, Stakeholders from Cordillera The general objective of the project is with the capacity, skills and knowledge,
led by Governors Hon. Elias C. Bulut Jr. of health systems strengthening for Maternal, specifically in ensuring that pregnant
Apayao, Hon. Eustaquio Bersamin of Abra, Neonatal and Child Health and Nutrition women have emergency birth plans and
and Vice Governor Hon. Nelson Dangwa of (MNCHN) while the specific objective is that they will complete at least 4 prenatal
Benguet. Maternal Mortality Rate (MMR) reduction check-up in the health facility including post
The forum started with a welcome program thru increasing facility-based delivery, partum care.
and mini-cultural show with key messages especially in rural areas of CAR. Project Presenting in the forum, Director Lopez
from Baguio City Mayor Mauricio Domogan, period is from February 2012 to February discussed the HFEP and said that DOH had
DOH-CAR Director Valeriano Lopez and Mr. 2017. disbursed a total of 56.2 million pesos for
Noriaki Niwa, Chief Representative of JICA Project strategies are upgrading of the 12 hospitals in all the 6 provinces of the
Philippine Office. birthing facilities in the rural areas; region in 2014 as infrastructure support,
Dr. Amelita M. Pangilinan, OIC Director III increasing the coverage of National Health 8.4 Million pesos for 8 Rural Health Units
of DOH-CAR presented the project highlights Insurance Program (NHIP); empowering and 50.4 million pesos for the 51 barangay
and said that in terms of Facility-based the Community Health Teams; improving health stations.
delivery (FBD), CAR is still far behind the patient referral system thru inter- There will be close monitoring of the
national target of 90 percent, aimed to be LGU collaboration and ensuring the implementation of DOH-HFEP to ensure that
achieved by 2016. sustainability of quality health services. implementation will be done as scheduled.
continued to Page 7